ENT Flashcards
What might uvula deviation indicate in tonsillitis?
Peritonsillar abscess (quinsy)
First and second line treatment for otitis externa
First: Topical aceitic acid spray
Second: Topical combination steroid and antibiotic drops (if hearing loss)
What does bilateral purple swelling of the nasal septum indicate and how is it managed?
Septal haematoma
Urgent ENT review
Sudden onset vertigo, hearing loss and tinnitus after a viral infection with horizontal nystagmus and nausea/vomiting
Labyrinthitis
Unilateral tonsillar swelling and fever
Quinsy
Pharyngitis and Tonsillitis with splenomegaly
Infectious mononucleosis
Which antibiotics are avoided in EBV
penicillin
Tonsils which meet in the middle and are covered by a white film that bleeds when you attempt to remove it
Acute bacterial tonsillitis
Episodes lasting 20min of unilateral tinnitus, sensioneural hearing loss and vertigo with a ‘full’ sensation
Meniere’s disease
Acoustic neuroma is similar but more progressive
Bilateral conductive hearing loss and tinnitus with a FHx
Otosclerosis
2 year old with frequent otitis media and delayed speech
Glue ear (otitis media with effusion)
Management of a simple perforated eardrum
Reassure and follow up in 6 weeks
Define otalgia
Ear pain
ABx of choice for otitis media
Amoxicillin
clarithroymycin/erythromycin if allergic
Sudden onset vertigo WITHOUT hearing loss after a viral illness
Vestibular neuronitis
Management of an auricular haematoma
Same day ENT assessment
5 causes of drug ototoxicity
Aminoglycosides, furosemide, aspirin, cytotoxic drugs, NSAIDs
80 year old with sensioneural hearing loss at high frequencies
Presbycusis
Hx of unilateral vertigo and hearing loss with an absent corneal reflex
Acoustic neuroma
What condition is associated with bilateral acoustic neuroma
Neurofibromatosis type 2
Define exostosis
Benign bony growth (conductive hearing loss)
Management of unilateral polyp
Red flag for nasopharyngeal cancer - urgent referral to ENT
First line management of bilateral polyp
Topical corticosteroid therapy
Treatment of Ramsay Hunt Syndrome
Oral aciclovir and corticosteroids